Advanced Healthcare For Women Pc

LBN: Advanced Healthcare For Women Pc
Advanced Healthcare For Women Pc is an health care organization with primary practice located at 1777 Axtell Suite 102, Troy MI 48084. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Advanced Healthcare For Women Pc can be contacted via phone (248) 822-6200, or through Mickelson, Ira via phone (248) 822-6200.

Contact Information

Primary practice address
1777 Axtell Suite 102 Troy MI 48084
Phone: (248) 822-6200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mickelson, Ira Doctor of Medicine (MD)
Phone: (248) 822-6200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X IM043839 Michigan

Profile Details

NPI number 1558456657
LBN Legal business name Advanced Healthcare For Women Pc
DBA Doing business as
Authorized official Mickelson, Ira Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 25th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558456657 NPPES
Michigan Other 160F318220 BCBS OF MICHIGAN

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